Anthony Dzigbordi
Nurse Anesthetist, Certified Registered in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1003517954
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1003517954
- Entity type
- Individual (NPI-1)
- Name
- Anthony Dzigbordi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2023
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28233741A | IN | Yes |
Practice location
5050 N Clinton StFort Wayne, IN 46825-5886
Phone 260-484-8551
Mailing address
5052 N Clinton StFort Wayne, IN 46825-5822
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